Addictive behaviors are major causes of chronic disease, premature death, and high health care costs. Such behaviors have not been treated seriously by health care systems, and this is a major reason why such systems face an unhealthy future. Treating addictions seriously requires complementing a traditional individual-patient paradigm with a population paradigm, an action paradigm with a stage paradigm, clinic practices with home-based practices, a clinician paradigm with a computer paradigm, and programs that focus on changing single behaviors with programs that focus on changing multiple behaviors.
ProchaskaJ.O. (2003). Enhancing motivation to change. In WilfordB.B.GrahamA.W.SchultzT.K. (Eds.), Principles of addiction medicine (3rd ed., pp. 825–838). Chevy Chase, MD: American Society of Addiction Medicine.
2.
ProchaskaJ.O.NorcrossJ.C.DiClementeC.C. (1994). Changing for good. New York: Morrow.
3.
SpencerL.PagellF.HallienM.E.AdamsT.B. (2002). (See References)
4.
BroganM.M.ProchaskaJ.O.ProchaskaJ.M. (1999). Predicting termination and continuation status in psychotherapy using the Transtheoretical Model. Psychotherapy, 36, 105–113.
5.
ConnorsG.J.WalitzerK.S.DermenK.H. (2002). Preparing clients for alcoholism treatment: Effects on treatment participation and outcomes. Journal of Consulting and Clinical Psychology, 70, 1161–1169.
6.
CummingsW.A. (2003, February). The implosion of managed care. Keynote address presented at the 14th Annual Art and Science Health Promotion Conference, Washington, DC.
7.
EddingtonD.W. (2001). Emerging research. American Journal of Health Promotion, 15, 341–369.
8.
FioreM.C.BaileyW.C.CohenS.J., . (2000). Treating tobacco use and dependence: Clinical practice guideline. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service.
9.
KreuterM.K.StrecherV.J.GlassmanB. (1999). One size does not fit all: The case for tailoring cancer prevention materials. Annals of Behavioral Medicine, 21, 276–283.
10.
LaforgeR.G. (2004). A population based individualized alcohol harm reduction program feedback intervention. Manuscript submitted for publication.
11.
LambertM.J.WhippleJ.L.SmartD.W.VermeerschD.A.NielsenS.L.HawkinsE.J. (2001). The effects of providing therapists with feedback on patient progress during psychotherapy. Psychotherapy Research, 11, 49–68.
12.
ProchaskaJ.O.DiClementeC.C.VelicerW.F.RossiJ.S. (1993). Standardized, individualized, interactive and personalized self-help programs for smoking cessation. Health Psychology, 12, 399–405.
13.
ProchaskaJ.O.ReddingC.A.GoldsteinM.VelicerW.F.RossiJ.S.SunX.RakowskiW.RossiS.R.GreeneG.W.DePueJ.FavaJ.LaforgeR.EhrlichB.WilleyC.NiauraR. (in press). Stage-based expert systems to guide a population of primary care patients to quit smoking, eat healthier, prevent skin cancer, and receive regular mammograms. Preventive Medicine.
14.
ProchaskaJ.O.VelicerW.F.FavaJ.RuggieroL.LaforgeR.RossiJ.R. (2001). Counselor and stimulus control enhancements of a stage matched expert system for smokers in a managed care setting. Preventive Medicine, 32, 23–32.
15.
ProchaskaJ.O.VelicerW.F.FavaJ.L.RossiJ.S.TsohJ.Y. (2001). Evaluating a population-based recruitment approach and a stage-based expert system intervention for smoking cessation. Addictive Behaviors, 26, 583–602.
16.
ProchaskaJ.O.VelicerW.F.RossiJ.S.ReddingC.A.GreeneG.W.RossiS.R.SunX.FavaJ.L.LaforgeR.PlummerB. (2004). Multiple risk expert systems interventions: Impact of simultaneous stage-matched expert system interventions for smoking, high-fat diet and sun exposure in a population of parents. Health Psychology, 23, 503–516.
17.
SpencerL.PagellF.HallienM.E.AdamsT.B. (2002). Applying the Transtheoretical model to tobacco cessation and prevention: A review of the literature. American Journal of Health Promotion, 17, 7–71.
18.
WierzbickiM.PekarikG. (1993). A meta-analysis of psychotherapy dropout. Professional Psychology, 29, 190–195.
